Infliximab is effective in the treatment of ulcerative colitis with dermatomyositis:A case report

BACKGROUND Joint,skin,oral cavity,and eye lesions are the most common extraintestinal manifestations of ulcerative colitis that can occur before or after its onset.The cases of ulcerative colitis with dermatomyositis(DM)are rare.In this study,we report a rare case of ulcerative colitis with DM that was effectively treated with infliximab.CASE SUMMARY The patient was a 57-year-old female with a 2-year history of DM.The patient was admitted to hospital with abdominal pain,diarrhea,and blood in stool lasting for more than 2 mo.Colonoscopy revealed multiple erosions and ulcers in the entire colon and rectum.Pathological sections showed chronic inflammatory cell infiltration,especially neutrophil infiltration,in the colonic mucosa;therefore,the patient was diagnosed with ulcerative colitis.Preparations of 5-aminosalicylic acid was added to her treatment based on the original treatment for DM,but its effect was unsatisfactory.The patient’s discomfort was relieved after infliximab treatment.CONCLUSION Infliximab can improve DM in the treatment of ulcerative colitis.Specialists need to raise awareness about patients with inflammatory bowel disease who have rare extraintestinal manifestations.

Emission characteristics and control technology of heavy metals during collaborative treatment of municipal solid waste incineration fly ash in iron ore sintering process

The municipal solid waste incineration fly ash (MSWI-FA) contains a large amount of heavy metals, and the process of iron ore sintering and treating fly ash needs to pay attention to the migration characteristics of heavy metals. The impact of the application of MSWI-FA in the sintering process on the emission law of heavy metals in the collaborative treatment process was studied, and corresponding control technologies were proposed. The results showed that the direct addition of water washing fly ash (WM-FA) powder resulted in varying degrees of increase in heavy metal elements in the sinter. As the amount of WM-FA added increases, the content of heavy metal elements correspondingly increases, and an appropriate amount of WM-FA added is 0.5%–1.0%. The migration mechanism of heavy metals during the sintering treatment of WM-FA was clarified. Heavy metals are mainly removed through direct and indirect chlorination reactions, and Cu and Cr can react with SiO_(2) and Fe_(2)O_(3) in the sintered material to solidify in the sinter. Corresponding control techniques have been proposed to reduce the heavy metal elements in WM-FA through the pre-treatment of WM-FA. When the WM-FA was fed in the middle and lower layers of the sintered material, the high temperature of the lower layer was utilized to promote the removal of heavy metals. The Ni element content has decreased from 130 to 90 mg kg^(−1), and the Cd removal rate has increased by 23%. The removal rates of Cd and Cr elements increase by 2.4 and 5.5 times, respectively. There is no significant change in sintering indexes.